Individual provider Active NPI

Agathe Eyoum Mouto

  • Case Manager/Care Coordinator
  • Takoma Park, MD
National Provider Identifier
1295094878
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7600 Maple Ave Apt 1409
Takoma Park, MD 20912-5556
Phone
(240) 988-4154
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X M-300034241252 MD
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7600 Maple Ave Apt 1409
Takoma Park, MD 20912-5556

Mailing address

7600 Maple Ave Apt 1409
Takoma Park, MD 20912-5556
Phone (240) 988-4154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M-300034241252MDMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1295094878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 MAPLE AVE APT 1409",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125556",
            "telephone_number": "240-988-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 MAPLE AVE APT 1409",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125556",
            "telephone_number": "240-988-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTO",
        "first_name": "AGATHE",
        "middle_name": "EYOUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "M-300034241252",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.